Increasing Colorectal Cancer Screening among African American

描述（由申请人提供）：拟议的职业发展奖将促进Richard C. Palmer博士作为一名独立的癌症预防和控制研究科学家的成长。候选人的长期职业目标是将研究成果转化为旨在减少健康差距的有效卫生政策。候选人的近期职业目标是使自己成为一名跨学科研究科学家，能够领导旨在理解和解决癌症健康差异的观察和干预研究。为了实现这一目标，候选人提出了一份职业发展计划，包括专业发展，手稿和拨款准备，以及收集试点数据的研究计划。拟议的研究计划扩展了候选人之前在结直肠癌（CRC）方面的研究工作，并建立在候选人已经开展的解决非裔美国人CRC差异的工作基础上。与非西班牙裔白人相比，非洲裔美国人CRC的发病率和死亡率更高，并且参与CRC筛查的比例较低。定期筛查可以降低结直肠癌的发病率和死亡率，并提供早期发现和预防的可能性。如果要实现平等，就需要采取干预措施提高非裔美国人的筛查率。拟议研究的主要目标是开发和测试一个交互式多媒体程序，旨在提高非洲裔美国初级保健患者对CRC的认识，对检测选择的了解，决策和CRC参与的增加。为了开发互动项目，将开发和测试促进结直肠癌筛查的适当健康信息，以检查它们对结直肠癌筛查态度和行为意向的影响。一旦开发，将进行随机试验，以评估交互式多媒体程序的影响。这种交互式多媒体应用代表了一种改善初级卫生保健机构中非裔美国人CRC筛查行为的新方法。如果交互式多媒体程序是有效的，它可能是一种廉价的方式来增加知识和遵守CRC筛查指南和其他筛查试验的人群。

DESCRIPTION (provided by applicant): The proposed Career Development Award will facilitate Dr. Richard C. Palmer's growth as an independent cancer prevention and control research scientist. The long-term career goal of the candidate is to translate research findings into effective health policy aimed at reducing health disparities. The candidate's immediate career goal is to establish himself as an interdisciplinary research scientist able to lead observational and intervention studies aimed at understanding and addressing cancer health disparities. To achieve this goal, the candidate proposes a career development plan that includes professional development, manuscript and grant preparation, and a research plan to collect pilot data. The proposed research plan extends the candidate's prior research work in colorectal cancer (CRC) and builds on work that the candidate has already conducted in addressing CRC disparities seen for African Americans. African Americans experience higher incidence and greater mortality from CRC in comparison to non-Hispanic whites and have low participation in CRC screening. Regular screening can reduce both morbidity and mortality from CRC and offers the possibility of early detection and prevention. Interventions to increase screening rates for African Americans are needed if parity is to be achieved. The primary goal of the proposed research will be to develop and test an interactive multimedia program that is aimed at increasing awareness about CRC, knowledge of testing options, decision-making, and increasing participation in CRC among African American primary care patients. To develop the interactive program, appropriate health messages promoting CRC screening will be developed and tested to examine their effect on attitudes toward CRC screening and behavioral intention. Once developed, a randomized trial will be conducted to assess the impact of the interactive multimedia program. This interactive multimedia application represents a novel approach to improving CRC screening behavior among African Americans in primary health care settings. If the interactive multimedia program is effective, it could be an inexpensive way to increase knowledge and compliance with CRC screening guidelines and other screening tests for this population. PUBLIC HEALTH RELEVANCE: African Americans have lower rates of colorectal cancer (CRC) screening participation and are more likely to die from the disease as compared to non-Hispanic whites and other racial/ethnic minorities. Consequently, interventions are needed to help address this inequity. This study will develop and test a multimedia intervention strategy aimed at increasing awareness of CRC, knowledge of testing options, and CRC screening participation among African American patients of a primary care clinic. If the multimedia education tool is effective, it could be an inexpensive way to increase compliance with CRC screening guidelines and possibly other cancer screening tests for this population.